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Crispr – gene editing
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CRISPR gene editing : revolution or evolution ?

Erika Brunet
Erika Brunet
Inserm Research Director at Institut Imagine

In 2020, the Nobel Prize in Che­mis­try was awar­ded to Emma­nuelle Char­pen­tier and Jen­ni­fer Doud­na for a tech­nique they had inven­ted only 8 years before. Known as CRISPR/Cas9 – or “mole­cu­lar scis­sors” – they first pre­sen­ted the method to the world when they publi­shed their paper in pres­ti­gious jour­nal, Science, in 2012. Since then, the tech­nique has been tou­ted as a revo­lu­tion in the world of mole­cu­lar bio­lo­gy and beyond.

INSERM resear­cher Dr. Eri­ka Bru­net at Ins­ti­tut Ima­gine, in the field cel­lu­lar and mole­cu­lar bio­lo­gy, uses the tech­nique regu­lar­ly in her labo­ra­to­ry. She says that whil­st CRISPR/Cas9 has been cited as a revo­lu­tion, pre­vious tech­niques shouldn’t be for­got­ten. For her, it could not have hap­pe­ned had other resear­chers not paved the way.

As a scien­tist in the field of can­cer research, how has CRIS­PR-Cas9 trans­for­med biology ?

Eri­ka Bru­net. CRIS­PR-Cas9 is a high­ly effec­tive tech­nique for cut­ting DNA at a pre­cise loca­tion, allo­wing the user to replace the sequence cut out with ano­ther one ; a fun­da­men­tal basic of ‘gene edi­ting’. Whil­st this is not the first method of DNA alte­ra­tion that exists, it is a high­ly effec­tive, “easy to use” and flexible method. As such, it opens the door to many appli­ca­tions – most nota­bly gene the­ra­pies, in which we could replace defec­tive genes in patients to treat them for cer­tain diseases.

There are also many research appli­ca­tions too, though. In my field, can­ce­ro­lo­gy, we use CRISPR/Cas9 to seek new the­ra­peu­tic tar­gets. We cut out genes in cells to re-trace the steps of tumour growth. The tool its high­ly flexible, all that is nee­ded is to order a desi­red RNA sequence or to make it – which is a sur­pri­sin­gly easy thing for a bio­lo­gist to do !

For me, howe­ver, it is impor­tant to point out that CRISPR/Cas9 would not exist had it not been for the many years of research that had paved the way before it. Yes, the CRIPSR-Cas9 that won the Nobel Prize is the ‘new gene­ra­tion’ of mole­cu­lar scis­sors. But it is a tech­nique that is more of an evo­lu­tion in mole­cu­lar tech­no­lo­gy rather than a com­ple­te­ly new idea. We don’t hear enough about that.

CRISPR is a fan­tas­tic tech­nique as it works “in the blink of an eye” – the desi­gn of CRISPR/cas9 sys­tem for one DNA tar­get only takes a few days. Also, before when we wan­ted to cut DNA in a pre­cise loca­tion, we would be suc­cess­ful in 1 cell out of very ~1 mil­lion tes­ted. With CRISPR, we are fre­quent­ly suc­cess­ful in 1 cell per 100 – so the jump is enor­mous.

Pre­vious­ly, when we wan­ted to cut the DNA at a spe­ci­fic point, we suc­cee­ded in about one cell in a million.

In your research, you seek to bet­ter unders­tand tumours. How do you use CRISPR-Cas9 ?

In my labo­ra­to­ry we stu­dy tumo­ral cells, spe­ci­fi­cal­ly the pro­cess of how a nor­mal cell becomes can­ce­rous. Many can­cers such as leu­kae­mia and lym­pho­mas deve­lop because of an acci­den­tal gene­tic alte­ra­tion in a pro­cess cal­led ‘geno­mic trans­lo­ca­tion’. It hap­pens when two chro­mo­somes in a cell cros­so­ver and swap a long piece of their DNA with one ano­ther. Most of the time when this hap­pens the cell will “cope” with this exchange of chro­mo­some seg­ment as it does not occur on an impor­tant gene sequence. But on some occa­sions a new ‘can­cer’ gene cal­led onco­gene will be for­med that will make the cells to “trans­form” and grow chao­ti­cal­ly, even­tual­ly lea­ding to a tumour. 

We can use CRISPR/Cas9 to stu­dy how this pro­cess works, from the moment that a nor­mal cell acquires the ‘geno­mic trans­lo­ca­tion’. To do so, we sim­ply cut the DNA of a cell of ori­gin of the disease (a blood cell for example), to recreate the new ‘can­cer’ gene thus tur­ning the heal­thy cell into a can­ce­rous one. These can­cer cells repli­cate uncon­trol­la­bly, gro­wing into a tumour, which we then put into a mouse for stu­dy. The impor­tant aspect is that, under expe­ri­men­tal condi­tions, we can repli­cate the very same series of DNA ‘events’ that would hap­pen in real-life and dis­sect the tumour pro­cess from the ori­gin. This allows us to bet­ter unders­tand how each DNA alte­ra­tion of a cell can even­tual­ly become leu­kae­mia, lym­pho­ma, or any other can­cer. Ulti­ma­te­ly, we can iden­ti­fy new tumour mar­kers and the­ra­peu­tic targets.

What advan­tages does the CRIS­PR-Cas9 tech­nique have in your field ?

We work on spe­ci­fic can­cers such as Ewing’s sar­co­ma, a bone can­cer which main­ly affects chil­dren and ado­les­cents. Cur­rent­ly in most cases, the pro­gnos­tic is very bad – the can­cer metas­ta­sises (mea­ning it spreads to the rest of the body) in as many as 30% of patients. Whil­st we have a hard time effec­ti­ve­ly trea­ting Ewing’s sar­co­ma, we do know a fair amount about its ori­gins. In ~90% of cases, the disease stems from a geno­mic trans­lo­ca­tion that hap­pens when chro­mo­somes 11 and 22 cros­so­ver acci­den­tal­ly. As such, we use CRIS­PR-Cas9 re-create the error by pre­ci­se­ly cut­ting chro­mo­somes 11 and 22 that can occur in cells at the ori­gin of Ewing’s sar­co­ma tumours. Using com­bi­na­tions of dif­ferent patient muta­tions indu­ced by CRISPR/Cas9, we recent­ly obtai­ned a unique model of Ewing sar­co­ma­ge­ne­sis that should be valuable for the scien­ti­fic com­mu­ni­ty wor­king on this par­ti­cu­lar­ly aggres­sive pae­dia­tric cancer.

What exis­ted before CRISPR-Cas9 ?

At the very begin­ning, when I star­ted my research in cell bio­lo­gy, I would use short pieces of DNA atta­ched to che­mi­cals to alter DNA. They were very niche and could be used to tar­get mul­tiple short DNA sequences. Next, there were what we cal­led mega­nu­cleases and zinc-fin­ger nucleases, which were a step up but still dif­fi­cult to desi­gn and engi­neer – so not acces­sible to eve­ryone. Impor­tant­ly, howe­ver, using this ‘first gene­ra­tion’ of DNA nucleases we saw real achie­ve­ments based on these tech­niques ; zinc-fin­ger nucleases are used to reach cli­ni­cal trials for cures to HIV infec­tion. Then, in 2010 we saw the arri­val of TALENs. They were much easier to handle, being assem­bled in the labo­ra­to­ry in under three weeks with a sim­pli­fied code to reco­gnise each base pair of DNA. This real­ly put nucleases on the map for wides­pread use. But two years later CRISPR/Cas9 arri­ved, kno­cking TALENs off their throne. The­re­fore, it could be said that others had done a lot of the leg work deve­lo­ping tech­niques and get­ting gene edi­ting out there for nume­rous types of cells in dif­ferent spe­cies, paving the way for CRISPR.

Interview by James Bowers

Contributors

Erika Brunet

Erika Brunet

Inserm Research Director at Institut Imagine

Erika Brunet works on cancer biology to understand how DNA alterations induce the appearance of cancers. Using genome editing methods like CRISPR/Cas9, she deciphers how normal cells become cancerous in order to identify new therapeutic targets. She works as research director at the INSERM, in the Genome Dynamics in the Immune System lab at the Imagine Institute, Paris.

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